NPI | 1932353406 |
---|---|
Former Name | MONIQUE L DANTZLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 4795) |
Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: FL ND4795) |
Enumeration Date | 2008-11-11 |
Last Update Date | 2019-12-05 |